Wiley
Wiley.com
Print this page Share

Withholding and Withdrawing Life-prolonging Medical Treatment, 3rd Edition

ISBN: 978-1-4051-5957-9
144 pages
May 2007, BMJ Books
Withholding and Withdrawing Life-prolonging Medical Treatment, 3rd Edition (140515957X) cover image
  • An authoritative book on one of the most fundamental and contentious issues for health care professionals
  • Fully updated to include provisions of the Mental Capacity Act (April 2007); the latest policy on advance directives and the impact of the Human Rights Act on such decisions
  • Provides guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost
  • Discusses recent cases, including Burke, baby MB, and Wyatt
  • Written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council's guidelines
See More
Part 1: How to use this guidance.

1. Scope, purpose and structure of this guidance.

Part 2: Defining key terms and concepts.

2. The primary goal of medicine.

3. Life-prolonging treatment.

4. Capacity and incapacity.

5. Duty of care.

6. Quality of life.

7. Benefit.

8. Harm.

9. Best interests.

10. Futility.

11. Basic care.

12. Artificial nutrition and hydration.

13. Oral nutrition and hydration.

14. Foresight and intention.

15. Withholding or withdrawing treatment.

16. Conscientious objection.

17. Resource management.

Part 3: Legal and ethical considerations that apply to all decisions to withhold or withdraw treatment.

18. Human Rights Act 1998.

19. Fairness and non-discrimination.

20. Communication.

21. Confidentiality.

22. Legal review.

Part 4: Medical considerations that apply to all decisions to withhold or withdraw treatment.

23. Medical assessment.

24. Medical decision making.

Part 5: Decision making by adults with capacity.

25. The law.

26. Communication and information.

Part 6: Decision making on behalf of adults who lack capacity.

England and Wales.

27. Patients with a Lasting Power of Attorney (LPA).

28. Patients with an advance decision about medical treatment.

29. Patients without a Lasting Power of Attorney or advance decision.

30. Patients in persistent vegetative state (pvs).

Scotland.

31. Patients with a welfare power of attorney or welfare guardian.

32. Patients with an advance decision about medical treatment.

33. Patients without a welfare power of attorney or advance decision.

34. Patients in persistent vegetative state (pvs).

Northern Ireland.

35. Patients with an advance decision about medical treatment.

36. Patients without an advance decision about medical treatment.

37. Patients in persistent vegetative state (pvs).

All UK jurisdictions.

38. Capacity and incapacity.

39. Communication and information.

40. Assessing best interests.

41. Dealing with disagreement.

Part 7: Decision making by young people with capacity.

42. The law in England,Wales and Northern Ireland.

43. The law in Scotland.

44. Assessing capacity.

45. Communicating with young people.

46. Dealing with disagreement.

Part 8: Decision making for children and young people who lack capacity.

47. The law.

48. Duties owed to babies and children.

49. Communicating with parents.

50. Assessing best interests.

51. Dealing with disagreement.

Part 9: Once a decision has been reached.

52. Keeping others informed.

53. Recording and reviewing the decision.

54. Providing support.

55. Respecting patients’ wishes after death.

Appendix 1 Useful addresses.

References.

Index

See More
This book is written and edited by members of the Medical Ethics Department of the British Medical Association with advice from the BMA’s Medical Ethics Committee
See More
An authoritative book on one of the most fundamental and contentious issues for health care professionals

  • Fully updated to include provisions of the Mental Capacity Act (April 2007); the latest policy on advance directives and the impact of the Human Rights Act on such decisions
  • Provides guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost
  • Discusses recent cases, including Burke, baby MB, and Wyatt
  • Written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council’s guidelines

.

See More
"Should become obligatory reading for any ethicist, politician or jurist who focuses on end-of-life decision making."
Medicine, Health Care, and Philosophy, 2008

"The report bears three intriguing strengths: (1) The ethical argumentation is impressively clear, consistent and convincing... (2) The ethical argumentation is backed up by constant references to recent legal cases and decisions and to the latest legislation. (3) The structure of the book is highly transparent, the style is clearly written and easy to read, and throughout the whole book the reader is spoiled with precise summaries of the main arguments and theses. Due to these strengths, the BMA guidance paper not only provides a comprehensive overview of the legal position in Scotland, England, Wales, and Northern Ireland and advances the debate by clear ethical arguments in those areas that are not addressed by the present law. It also serves as a role model for other European countries which seem to fall far behind such an elaborated position paper and where doctors still muddle through the complexity of end-of-life decision-making in everyday clinical life...

... The BMA report should become an obligatory reading for any ethicist, politician or jurist who focuses on end-of-life decision making and serves as a helpful guidance for any doctor concerned with decisions about life-prolonging treatments in clinical life" - Matthis Synofzik, Tubingen, Germany, Med Health Care and Philos (2007)

See More

Related Titles

Back to Top